Anti-Inflammatory Potency of Mangosteen (Garcinia mangostana L.): A Systematic Review

Authors

  • Andreas Arie Setiawan Department of Internal Medicine, Faculty of Medicine, Diponegoro University, Semarang, Indonesia
  • Jethro Budiman Department of Anatomic Pathology, Faculty of Medicine, Diponegoro University, Dr. Kariadi Hospital, Semarang, Indonesia; Emergency Unit, Panti Wilasa Citarum Hospital, Semarang, Indonesia
  • Awal Prasetyo Department of Anatomic Pathology, Faculty of Medicine, Diponegoro University, Dr. Kariadi Hospital, Semarang, Indonesia; Department of Biomedical Science, Faculty of Medicine, Diponegoro University, Semarang, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2023.8746

Keywords:

Anti-inflammatory, Garcinia mangostana L., Mangosteen

Abstract

BACKGROUND: Mangosteen (Garcinia mangostana L.) is a tropical fruit, widely used in Southeast Asia as a health food and supplement, because of its beneficial effects on the body. In many studies, mangosteen is described to have many health effects such as antimicrobial, antioxidant, anti-proliferative, anti-carcinogenic, and antiinflammatory. The anti-inflammatory effect is important because many diseases have pathophysiology associated with the inflammatory process.

AIM: This study aimed to assess and conclude the scientific database systematically to investigate the anti-inflammatory potency of mangosteen (Garcinia mangostana L.).

METHODS: Cochrane handbook for systematic reviews and the guideline of preferred reporting items for systematic review and meta-analysis (PRISMA) were used as guidelines in this review.

RESULTS: The authors searched the study in electronic databases which met inclusion and exclusion criteria. The authors independently evaluated 412 studies in database finding, 24 studies fulfilled the criteria for this review.

CONCLUSION: Mangosteen (Garcinia mangostana L.) has anti-inflammatory potency (especially the component of xanthone and flavonoid) in various inflammatory conditions and diseases; such as obesity, skin disease, psychiatric disease, tooth disease, asthma, atherosclerosis, acetaminophen-induced hepatotoxicity, peritonitis, colitis, prostatic hyperplastic, arthritis, and soft-tissue inflammation.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Plum Analytics Artifact Widget Block

References

Bumrungpert A, Kalpravidh RW, Chuang CC, Overman A, Martinez K, Kennedy A, et al. Xanthones from mangosteen inhibit inflammation in human macrophages and in human adipocytes exposed to macrophage-conditioned media. J Nutr. 2010;140(4):842-7. https://doi.org/10.3945/jn.109.120022 PMid:20181789 DOI: https://doi.org/10.3945/jn.109.120022

Xie Z, Sintara M, Chang T, Ou B. Daily consumption of a mangosteen-based drink improves in vivo antioxidant and anti-inflammatory biomarkers in healthy adults: A randomized, double-blind, placebo-controlled clinical trial. Food Sci Nutr. 2015;3(4):342-8. https://doi.org/10.1002/fsn3.225 PMid:26286710 DOI: https://doi.org/10.1002/fsn3.225

Sunarjo L, Oedijani, Suharti, Susanto HS. The preliminary study on safety of using mangosteen peel extract as natural herbs. J Med Sci Clin Res. 2017;5(7):24851-6. https://doi.org/10.18535/jmscr/v5i7.92 DOI: https://doi.org/10.18535/jmscr/v5i7.92

Candra AA, Irwani I. Acute toxicity test of skin mangosteen (Garcinia mangostana L.) and histopathologic study of liver. Bangl J Vet Med. 2016;14(2):145-8. https://doi.org/10.3329/ bjvm.v14i2.31384 DOI: https://doi.org/10.3329/bjvm.v14i2.31384

Gutierrez-Orozco F, Failla ML. Biological activities and bioavailability of: A critical review of the current evidence. Nutrients. 2013;5(8):3163-83. https://doi.org/10.3390/ nu5083163 PMid:23945675 DOI: https://doi.org/10.3390/nu5083163

Feng Z, Lu X, Gan L, Zhang Q, Lin L. Xanthones, a promising anti-inflammatory scaffold: Structure, activity, and drug likeness analysis. Molecules. 2020;25(3):598. https://doi.org/10.3390/molecules25030598 PMid:32019180 DOI: https://doi.org/10.3390/molecules25030598

Widowati W, Darsono L, Suherman J, Fauziah N, Maesaroh M, Erawijantari PP. Anti-inflammatory effect of mangosteen (Garcinia mangostana L.) peel extract and its compounds in LPS-induced raw264.7 cells. Nat Prod Sci. 2016;22(3):147-53. https://doi.org/10.20307/nps.2016.22.3.147 DOI: https://doi.org/10.20307/nps.2016.22.3.147

Rea IM, Gibson DS, McGilligan V, McNerlan SE, Alexander HD, Ross OA. Age and age-related diseases: Role of inflammation triggers and cytokines. Front Immunol. 2018;9:586. https://doi.org/10.3389/fimmu.2018.00586 PMid:29686666 DOI: https://doi.org/10.3389/fimmu.2018.00586

Gulati K, Guhathakurta S, Joshi J, Ray A. Cytokines and their role in health and disease: A brief overview. MOJ Immunol. 2016;4(2):00121. https://doi.org/10.15406/moji.2016.04.00121 10. Zhang JM, An J. Cytokines, inflammation and pain. Int Anesthesiol Clin. 2007;45(2):27-37. https://doi.org/10.1097/AIA.0b013e318034194e PMid:17426506 DOI: https://doi.org/10.1097/AIA.0b013e318034194e

Lim YK, Yoo SY, Jang YY, Lee BC, Lee DS, Kook JK. Anti-inflammatory and in vitro bone formation effects of Garcinia mangostana L. and propolis extracts. Food Sci Biotechnol. 2020;29(4):539-48. https://doi.org/10.1007/s10068-019-00697-3 PMid:32296565 DOI: https://doi.org/10.1007/s10068-019-00697-3

Gunter NV, Teh SS, Lim YM, Mah SH. Natural xanthones and skin inflammatory diseases: Multitargeting mechanisms of action and potential application. Front Pharmacol. 2020;11:594202. https://doi.org/10.3389/fphar.2020.594202 PMid:33424605 DOI: https://doi.org/10.3389/fphar.2020.594202

Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. BMJ. 2021;372:n71. https://doi.org/10.1136/bmj.n71 PMid:33782057 DOI: https://doi.org/10.1136/bmj.n71

Higgins J, Green S. Cochrane Handbook for Systematic Reviews of Intervention 5.2. United Kingdom: John Wiley and Sons; 2017. p. 1-50. Available from: https://training.cochrane. org/handbook, https://www.radioterapiaitalia.it/wp-content/ uploads/2017/cochrane-handbook-for-systematic-reviews-of- interventions.pdf [Last accessed on 2021 Oct 25].

Hooijmans CR, Rovers MM, de Vries RB, Leenaars M, Ritskes- hoitinga M, Langendam MW. SYRCLE’s risk of bias tool for animal studies. BMJ Med Res Methodol. 2014;14:43. https://doi.org/10.1186/1471-2288-14-43 PMid:24667063 DOI: https://doi.org/10.1186/1471-2288-14-43

Lueangarun S, Sriviriyakul K, Tempark T, Managit C, Sithisarn P. Clinical efficacy of 0.5% topical mangosteen extract in nanoparticle loaded gel in treatment of mild-to-moderate acne vulgaris: A 12-week, split-face, double-blinded, randomized, controlled trial. J Cosmet Dermatol. 2019;18(5):1395-403. https://doi.org/10.1111/jocd.12856 PMid:30688020 DOI: https://doi.org/10.1111/jocd.12856

Romain C, Cases J. Mangosteen extract for short-term pain management: Preclinical approach and pilot clinical investigation on volunteers with soft tissue pain. Agro Food Ind Hi Tech. 2015;26(3):8-13.

Udani JK, Singh BB, Barrett ML, Singh VJ. Evaluation of mangosteen juice blend on biomarkers of inflammation in obese subjects: A pilot, dose finding study. Nutr J. 2009;8(1):48. https:// doi.org/10.1186/1475-2891-8-48 PMid:19843321 DOI: https://doi.org/10.1186/1475-2891-8-48

Watanabe M, Gangitano E, Francomano D, Addessi E, Toscano R, Costantini D, et al. Mangosteen extract shows a potent insulin sensitizing effect in obese female patients: A prospective randomized controlled pilot study. Nutrients. 2018;10(5):586. https://doi.org/10.3390/nu10050586 PMid:29747432 DOI: https://doi.org/10.3390/nu10050586

Adyab NS, Rahmat A, Kadir NA, Jaafar H, Shukri R, Ramli NS. Mangosteen (Garcinia mangostana) flesh supplementation attenuates biochemical and morphological changes in the liver and kidney of high fat diet-induced obese rats. BMC Complement Altern Med. 2019;19(1):344. https://doi.org/10.1186/s12906-019-2764-5 PMid:31791316 DOI: https://doi.org/10.1186/s12906-019-2764-5

Astuti KW, Wijayanti NP, Yustiantara PS, Laksana KP, Putra PS. Anti-inflammatory activity of mangosteen (Garcinia mangostana Linn.) rind extract nanoemulgel and gel dosage forms. Biomed Pharmacol J. 2019;12(4):1767-74. https://doi.org/10.13005/bpj/1807 DOI: https://doi.org/10.13005/bpj/1807

Chae HS, You BH, Song J, Ko WH, Choi YH, Chin YW. Mangosteen extract prevents dextran sulfate sodium-induced colitis in mice by suppressing NF-kB activation and inflammation. J Med Food. 2017;20(8):727-33. https://doi.org/10.1089/jmf.2017.3944 PMid:28654307 DOI: https://doi.org/10.1089/jmf.2017.3944

Chen LG, Yang LL, Wang CC. Anti-inflammatory activity of mangostins from Garcinia mangostana. Food Chem Toxicol. 2008;46(2):688-93. https://doi.org/10.1016/j.fct.2007.09.096 PMid:18029076 DOI: https://doi.org/10.1016/j.fct.2007.09.096

Herrera-Aco DR, Medina-Campos ON, Pedraza-Chaverri J, Sciutto-Conde E, Rosas-Salgado G, Fragoso-González G. Alpha-mangostin: Anti-inflammatory and antioxidant effects on established collagen-induced arthritis in DBA/1J mice. Food Chem Toxicol. 2019;124:300-15. https://doi.org/10.1016/j.fct.2018.12.018 PMid:30557668 DOI: https://doi.org/10.1016/j.fct.2018.12.018

Huang HJ, Chen WL, Hsieh RH, Hsieh-Li HM. Multifunctional effects of mangosteen pericarp on cognition in C57BL/6J and triple transgenic Alzheimer’s mice. Evid Based Complement Altern Med. 2014;2014:813672. https://doi.org/10.1155/2014/813672 PMid:25525451 DOI: https://doi.org/10.1155/2014/813672

Jang HY, Kwon OK, Oh SR, Lee HK, Ahn KS, Chin YW. Mangosteen xanthones mitigate ovalbumin-induced airway inflammation in a mouse model of asthma. Food Chem Toxicol. 2012;50(11):4042-50. https://doi.org/10.1016/j.fct.2012.08.037 PMid:22943973 DOI: https://doi.org/10.1016/j.fct.2012.08.037

Im AR, Kim YM, Chin YW, Chae S. Protective effects of compounds from Garcinia mangostana L. (mangosteen) against UVB damage in HaCaT cells and hairless mice. Int J Mol Med. 2017;40(6):1941-9. https://doi.org/10.3892/ijmm.2017.3188 PMid:29039482 DOI: https://doi.org/10.3892/ijmm.2017.3188

Kresnoadi U, Ariani MD, Djulaeha E, Hendrijantini N. The potential of mangosteen (Garcinia mangostana) peel extract, combined with demineralized freezedried bovine bone xenograft, to reduce ridge resorption and alveolar bone regeneration in preserving the tooth extraction socket. J Indian Prosthondotic Soc. 2017;17(3):282-8. https://doi.org/10.4103/jips.jips_64_17 PMid:28936043 DOI: https://doi.org/10.4103/jips.jips_64_17

Lotter J, Möller M, Dean O, Berk M, Harvey BH. Studies on haloperidol and adjunctive α-mangostin or raw Garcinia mangostana Linn pericarp on bio-behavioral markers in an immune-inflammatory model of schizophrenia in male rats. Front Psychiatry. 2020;11:121. https://doi.org/10.3389/ fpsyt.2020.00121 PMid:32296347 DOI: https://doi.org/10.3389/fpsyt.2020.00121

Mohan S, Syam S, Abdelwahab SI, Thangavel N. An anti- inflammatory molecular mechanism of action of α-mangostin, the major xanthone from the pericarp of Garcinia mangostana: An in silico, in vitro and in vivo approach. Food Funct. 2018;9(7):3860-71. https://doi.org/10.1039/c8fo00439k PMid:29953154 DOI: https://doi.org/10.1039/C8FO00439K

Mokoagow KP, Djawad K, Wahab S, Bahar B, Miskad UA, Waspodo N. Antiinflammation effect of Garciana mangostana pericarp extract in albino mice skin induced by 12-0- tetradecanoylphorbol-13-acetate. EurAsia J Biosci. 2020;14(2):5815-21.

Putri K, Darsono L, Mandalas H. Anti-inflammatory properties of mangosteen peel extract on the mice gingival inflammation healing process. Padjadjaran J Dent. 2017;29(3):190-5. https:// doi.org/10.24198/pjd.vol29no3.14399 DOI: https://doi.org/10.24198/pjd.vol29no3.14399

Sombolayuk HB, Djawad K, Wahab S, Miskad UA, Alam G, Pattelongi I. The effectivity of topical mangosteen pericarp extract cream on wound healing in Swiss albino mice. J Biol Res. 2019;92(2):61-4. https://doi.org/10.4081/jbr.2019.8150 DOI: https://doi.org/10.4081/jbr.2019.8150

Tatiya-Aphiradee N, Chatuphonprasert W, Jarukamjorn K. Anti-inflammatory e-ect of Garcinia mangostana Linn. pericarp extract in methicillin-resistant Staphylococcus aureus-induced superficial skin infection in mice. Biomed Pharmacother. 2019;111:705-13. https://doi.org/10.1016/j.biopha.2018.12.142 PMid:30611995 DOI: https://doi.org/10.1016/j.biopha.2018.12.142

Tsai HH, Chen CW, Yu PL, Lin YL, Hsieh RH. Mangosteen pericarp components alleviate progression of prostatic hyperplasia and mitochondrial dysfunction in rats. Sci Rep. 2020;10(1):322. https://doi.org/10.1038/s41598-019-56970-2 PMid:31941927 DOI: https://doi.org/10.1038/s41598-019-56970-2

Yan XT, Sun YS, Ren S, Zhao LC, Liu WC, Chen C, et al. Dietary α-mangostin provides protective effects against acetaminophen-induced hepatotoxicity in mice via Akt/mTOR- mediated inhibition of autophagy and apoptosis. Int J Mol Sci. 2018;19(5):1335. https://doi.org/10.3390/ijms19051335 PMid:29723988 DOI: https://doi.org/10.3390/ijms19051335

Yurista SR, Safithri F, Djunaedi D, Sargowo D. Effect of extract from pericarp of mangosteen (Garcinia mangostana Linn) as anti-inflammatory agent in rat models with atherosclerosis. Efek Ekstrak Kulit Manggis (Garcinia mangostana Linn) sebagai Anti Inflamasi pada Tikus Model Aterosklerotik. J Kardiol Indones. 2012;33(1):4-9. https://doi.org/10.30701/ijc.v33i5.68

Zuo J, Yin Q, Wang L, Zhang W, Fan Y, Zhou YY, et al. Mangosteen ethanol extract alleviated the severity of collagen- induced arthritis in rats and produced synergistic effects with methotrexate. Pharm Biol. 2018;56(1):455-64. https://doi.org/10.1080/13880209.2018.1506939 PMid:31070537 DOI: https://doi.org/10.1080/13880209.2018.1506939

Xiao K, Liu C, Tu Z, Xu Q, Chen S, Zhang Y, et al. Activation of the NF-κB and MAPK signaling pathways contributes to the inflammatory responses, but not cell injury, in IPEC-1 cells challenged with hydrogen peroxide. Oxid Med Cell Longev. 2020;2020:5803639. https://doi.org/10.1155/2020/5803639 PMid:32411329 DOI: https://doi.org/10.1155/2020/5803639

Djawad K, Wahab S, Wibisono O, Avanti C, Putranti AR, Bukhari A, et al. Protective effect of mangosteen pericarp extract cream against UVB-induced erythema. J Clin Aesthet Dermatol. 2020;13(10):E59-65.

Li C, Zhang Y, Song H, Gao J, Zhao B, Zhu Q, et al. Anti- cyclic citrullinated peptide antibody predicts the development of rheumatoid arthritis in patients with undifferentiated arthritis. Chin Med J (Engl). 2019;132(24):2899-904. https://doi.org/10.1097/CM9.0000000000000570 PMid:31855969 DOI: https://doi.org/10.1097/CM9.0000000000000570

Sulaiman FN, Wong KK, Ahmad WA, Ghazali WS. Anti- cyclic citrullinated peptide antibody is highly associated with rheumatoid factor and radiological defects in rheumatoid arthritis patients. Medicine (Baltimore). 2019;98(12):e14945. https://doi.org/10.1097/MD.0000000000014945 PMid:30896663 DOI: https://doi.org/10.1097/MD.0000000000014945

Lee LT, Tsai YF, Hu NY, Wang CW, Huang KK, Hsiao JK, et al. Anti-arthritis effect of mangostins from G. Mangostana. Biomed Prev Nutr. 2013;3(3):227-32. https://doi.org/10.1016/j.bionut.2012.10.002 DOI: https://doi.org/10.1016/j.bionut.2012.10.002

Bergheanu SC, Bodde MC, Jukema JW. Pathophysiology and treatment of atherosclerosis: Current view and future perspective on lipoprotein modification treatment. Neth Heart J. 2017;25(4):231-42. https://doi.org/10.1007/s12471-017-0959-2 PMid:28194698 DOI: https://doi.org/10.1007/s12471-017-0959-2

Rafieian-Kopaei M, Setorki M, Doudi M, Baradaran A, Nasri H. Atherosclerosis : Process,indicators, risk factors and new hopes. Int J Prev Med. 2014;5(8):927-46. PMid:25489440

Agha M, Agha R. The rising prevalence of obesity: Part A: Impact on public health. Int J Surg Oncol (N Y). 2017;2(7):e17. https://doi.org/10.1097/IJ9.0000000000000017 PMid:29177227 DOI: https://doi.org/10.1097/IJ9.0000000000000017

Ofei F. Obesity-a preventable disease. Ghana Med J. 2005;39(3):98-101. PMid:17299552

Husen SA, Winarni D, Khaleyla F, Kalqutny SH, Ansori AN. Activity assay of mangosteen (Garcinia mangostana L.) pericarp extract for decreasing fasting blood cholesterol level and lipid peroxidation in Type-2 diabetic mice. AIP Conf Proc. 2017;1888(1):020026. https://doi.org/10.1063/1.5004303 DOI: https://doi.org/10.1063/1.5004303

Shandiz HT, Razavi BM, Hosseinzadeh H. Review of Garcinia mangostana and its xanthones in metabolic syndrome and related complications. Phytother Res. 2017;31(8):1173-82. https://doi.org/10.1002/ptr.5862 PMid:28656594 DOI: https://doi.org/10.1002/ptr.5862

Do HT, Cho J. Mangosteen pericarp and its bioactive xanthones: Potential therapeutic value in Alzheimer’s disease, Parkinson’s disease, and depression with pharmacokinetic and safety profiles. Int J Mol Sci. 2020;21(17):6211. https://doi.org/10.3390/ijms21176211 PMid:32867357 DOI: https://doi.org/10.3390/ijms21176211

Tiwari S, Atluri V, Kaushik A, Yndart A, Nair M. Alzheimer’s disease: Pathogenesis, diagnostics, and therapeutics. Int J Nanomedicine. 2019;14:5541-54. https://doi.org/10.2147/IJN. S200490 PMid:31410002 DOI: https://doi.org/10.2147/IJN.S200490

Weller J, Budson A. Current understanding of Alzheimer’s disease diagnosis and treatment. F1000Res. 2018;7:F1000 Faculty Rev-1161. https://doi.org/10.12688/f1000research.14506.1 PMid:30135715 DOI: https://doi.org/10.12688/f1000research.14506.1

McCutcheon RA, Marques TR, Howes OD. Schizophrenia-an overview. JAMA Psychiatry. 2020;77(2):201-10. https://doi.org/10.1001/jamapsychiatry.2019.3360 PMid:31664453 DOI: https://doi.org/10.1001/jamapsychiatry.2019.3360

Ashton MM, Dean OM, Walker AJ, Bortolasci CC, Ng CH, Hopwood M, et al. The therapeutic potential of mangosteen pericarp as an adjunctive therapy for bipolar disorder and schizophrenia. Front Psychiatry. 2019;10:115. https://doi.org/10.3389/fpsyt.2019.00115 PMid:30918489 DOI: https://doi.org/10.3389/fpsyt.2019.00115

Stępnicki P, Kondej M, Kaczor AA. Current concepts and treatments of schizophrenia. Molecules. 2018;23(8):2087. https://doi.org/10.3390/molecules23082087 PMid:30127324 DOI: https://doi.org/10.3390/molecules23082087

Formagio AS, Volobuff CR, Santiago M, Cardoso CA, Vieira MD, Pereira ZV. Evaluation of antioxidant activity, total flavonoids, tannins and phenolic compounds in psychotria leaf extracts. Antioxidants (Basel). 2014;3(4):745-57. https://doi.org/10.3390/antiox3040745 PMid:26785238 DOI: https://doi.org/10.3390/antiox3040745

Medini F, Fellah H, Ksouri R, Abdelly C. Total phenolic, flavonoid and tannin contents and antioxidant and antimicrobial activities of organic extracts of shoots of the plant Limonium Delicatulum. J Taibah Univ Sci. 2014;8(3):216-24. https://doi.org/10.1016/j.jtusci.2014.01.003 DOI: https://doi.org/10.1016/j.jtusci.2014.01.003

Global Initiative for Asthma. Global Strategy for Asthma Management and Prevention. United States: Global Initiative for Asthma; 2020. p. 1-211. Available from: https://ginasthma.org/ gina-reports [Last accessed on 2021 May 25].

So JY, Mamary AJ, Shenoy K. Asthma: Diagnosis and treatment. EMJ. 2018;3(4):111-21. DOI: https://doi.org/10.33590/emj/10313763

Sproston NR, Ashworth JJ. Role of C-reactive protein at sites of inflammation and infection. Front Immunol. 2018;9:754. https://doi.org/10.3389/fimmu.2018.00754 PMid:29706967 DOI: https://doi.org/10.3389/fimmu.2018.00754

Downloads

Published

2023-01-02

How to Cite

1.
Setiawan AA, Budiman J, Prasetyo A. Anti-Inflammatory Potency of Mangosteen (Garcinia mangostana L.): A Systematic Review. Open Access Maced J Med Sci [Internet]. 2023 Jan. 2 [cited 2024 Apr. 25];11(F):58-66. Available from: https://oamjms.eu/index.php/mjms/article/view/8746

Issue

Section

Systematic Review Article

Categories